These barriers include stereotyping and discrimination, differences in communication style or a lack of communication, lack of care options, feelings of isolation, lack of privacy, mistrust of the system, not being actively involved in decision-making and concerns over policies. The barriers to accessing healthcare experienced by Indigenous Peoples are not exclusive to British Columbia and exist throughout Canada.
6 Specifically, these included: (1) developing education programmes for healthcare providers by health regulators (2) prioritising strategies to address Indigenous-specific racism in the healthcare systems and (3) providing access to evidence-based resources and training for all healthcare workers. 6 In response, the British Columbia health authorities and the Ministry of Health committed to implementing all recommendations within their direct responsibility and supporting the implementation by others. 5 The report concluded with 24 recommendations aimed at the British Columbia Government to incite meaningful change to the healthcare system. Turpel-Lafond identified a lack of accountability within the healthcare system for eliminating Indigenous-specific racism, including inadequate education and training programmes and complaints processes, and lack of integration of Indigenous health knowledge and practices in the healthcare system. The report highlighted 11 key messages related to widespread Indigenous-specific stereotyping, racism and discrimination that limit access to medical treatment and negatively impact the health and wellness of Indigenous Peoples in British Columbia.
#The keeper of 4 elements level 13 series
Mary Ellen Turpel-Lafond released a series of reports entitled In Plain Sight summarising the results of an independent investigation into Indigenous-specific discrimination in British Columbia’s healthcare system.
The persistent discrimination against Indigenous Peoples in Canada continues to profoundly impact the delivery and access of healthcare services. 1 4 Furthermore, the colonial structures embedded within health systems often create a hierarchy between Indigenous and non-Indigenous knowledge systems and practices, excluding or minimising the relevance of Indigenous healing practices in addressing the holistic health needs of Indigenous Peoples. 3 Today, the impact of long-term colonialism, racism and discrimination is evidenced by lower life expectancy, higher infant mortality, higher rate of mental health problems and higher incidence of conditions such as arthritis, asthma, diabetes and tuberculosis in Indigenous communities than in other minorities. 2 The resulting historical trauma has affected individuals, their families, communities and descendants. 2 Specifically, the displacement of Indigenous Peoples from traditional lands being restricted or forbidden to hunt, trap or fish and assimilation into the dominant culture, such as through residential schools, have had extremely devastating consequences. 1 The consequences of colonialism, racism and discrimination have impacted the health of Indigenous Peoples by producing social, political and economic disparities. In Canada, significant inequalities in health services and health outcomes exist among Indigenous Peoples, and are consistently larger than in other non-Indigenous populations.
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